Individual
MS. CYNTHIA CAMPBELL JACOBS
Active
Individual
MS. CYNTHIA CAMPBELL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CRC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4891
NC
101YM0800X
Mental Health Counselor
4891
NC
101YP2500X
Professional Counselor
Primary
4891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103608
—
NC
Enumeration date
05/30/2007
Last updated
04/28/2018
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